DISABILITY DETERMINATION REQUEST MEDICAL ASSISTANCE CASE I. IDENTIFYING INFORMATION: To be
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No Yes, date G. Office/Address H. E-Mail I. Signature of DCF Worker J. Date
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https://content.dcf.ks.gov/EES/KEESM/Miscform/DD-1104_Disability_Determination_Request_7_02.pdfView duplicates
2 RFP Title: Due Date: Contact: E-Mail Address: Agency: Location: Children’s Justice Act RFP
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A signed copy of this Addendum must be submitted with your bid by the closing date indicated
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https://www.dcf.ks.gov/Agency/Operations/ARReports/Addendum 2 - PPS Children's Justice Act (CJA) RFP.pdf
Kansas Department for Children and Families
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This is your application for the programs and services offered through the
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Answer all of the questions to
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If English is not your primary
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3100_11-20.pdfView duplicates
State of Kansas Department for Children and Families Prevention and Protection Services Appendix 9D July 2015
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Conversion of Intrastate Placement into Interstate Placement; Relocation
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_9D.pdf
*physical address required, including 9-digit zip code **the Total Expense for this column MUST EQUAL ZERO ***Indirect Costs may not exceed 10% of the Contract Budget
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https://www.dcf.ks.gov/Agency/Operations/Documents/Contract Revision(OGC-2005) ACCESSIBLE 5-17.pdf
The information provided on this report is used to review the progress of DCF-funded Contracts
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The Contract Transaction Report will NOT be processed WITHOUT a Contract Status Report, a
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https://www.dcf.ks.gov/Agency/Operations/Documents/Contract Status Report (OGC-2002) ACCESSIBLE 5-2017.pdf
*physical address required, including 9-digit zip code **the Total Expense for this column MUST EQUAL ZERO ***Indirect Costs may not exceed 10% of the Grant Budget
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https://www.dcf.ks.gov/Agency/Operations/Documents/Revision(OGC-1008.3).pdf
The following person has previously received federally funded TANF cash assistance from the state of Kansas
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TANF is the name of the federal welfare reform program
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-4101_TAF_Months_in_KS_01-17.pdfView duplicates
DEPARTMENT FOR CHILDREN AND FAMILIES 05-22
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Please evaluate the medical or mental health condition of
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so that we may determine his/her ability to work, participate in education, or attend
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-4309_Drs_Statement_05-22.pdfView duplicates
Kansas Department for Children & Families Form: FP-1020 05/2023
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the signed Fingerprint Waiver 3) Mail Address: Office of Background Investigations, Kansas
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/FP1020.pdf